Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jared C. Shipley, PA-C

Individual provider Physician Assistant · NPI 1174154256

Mr. Jared C. Shipley, PA-C is a Physician Assistant in Rancho Mirage, California. Licensed in California and Florida. Registered with an NPI since 2020.

Licensed in
CA, FL
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone: (760) 340-3911
Fax: (760) 773-1481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA65044 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA9112971 (FL)

Record details

NPI number1174154256
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 28, 2020
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024

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